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Volume 6, Issue 4(Suppl)
OMICS J Radiol, an open access journal
ISSN: 2167-7964
Medical Imaging and Clinical Research 2017
September 11-12, 2017
September 11-12, 2017 | Paris, France
2
nd
World Congress on
Medical Imaging and Clinical Research
Ultrasound guidance for interventional pain management of lumbar facet joint pain: An anatomical and clinical
study
Masoud Hashemi
Shahid Beheshti University of Medical Sciences, Iran
There is a growing trend in ultrasound use in interventional pain management. Recently, the ease of use and clinical benefits of
lumbar medial branch nerve block under ultrasound guidance have been identified. In this study, we assessed the relevant anatomy
and sonoanatomy of these specific interventional techniques. We also evaluated the feasibility and success rates of ultrasound guided
lumbar medial branch nerve block.
Patients and Methods
: Selected patients with facet joint pain who were referred to the Akhtar hospital pain clinics were evaluated.
Ultrasound-guided lumbar medial branch nerve blocks were performed. The target point for the lumbar nerve block was the cephalad
margin of the transverse process groove in the vicinity of the superior articular process. C-arm fluoroscopy was performed to confirm
the needle location. Pain levels were measured by a visual analog scale (0 - 10 scale), the Oswestry disability index (0 - 5 scale), and
patient satisfaction scores (0 - 3 scale). The patients were followed for 6 weeks.
Results
: The success rate was 98%, which was due to our use of ultrasound guided needle placement for the correct positioning
of the needles. The mean procedural time was 5.9 ± 1 minutes. The average time of needle insertion was 4 ± 1 minutes. The pain
intensity significantly improved from an initial value of 5 to 2.8 in the final follow-up (P = 0.0001). The oswestry disability index score
significantly improved from 33.9 to 18.3 in the final follow-up (P = 0.0001). Patient satisfaction significantly improved from poor
satisfaction immediately after the medial branch nerve block to excellent satisfaction in the final follow-up (P = 0. 0001). Analgesic
requirements were also significantly reduced after 6 weeks of follow-up (P = 0.046).
Conclusion
: Lumbar medial branch nerve block under ultrasound guidance was associated with high rates of treatment success and
excellent treatment outcomes for facet joint pain. It is also feasible and administers no radiation. Thus, ultrasound-guided procedures
can be used instead of conventional methods.
Biography
Masoud Hashemi MD, Anesthesiologist fellow in pain management has his expertise in pain management procedures in improving the health and wellbeing of
chronic pain patients. He is known as the founder of the modern pain clinic in both educational and practical fields. His ten years of experience in teaching and
training of physicians and so many patients who found less painful lives, prove his capacities in the field. As an associate professor and director of pain fellowship
program and member of International Association for the Study of Pain (IASP) (Branch of Iran) he has a number of publications. Besides he organized and
managed a number of congresses and workshops bringing out the latest and newest science based data as well as techniques in pain medicine in Iran.
drhashemi@sbmu.ac.irMasoud Hashemi, OMICS J Radiol 2017, 6:4(Suppl)
DOI: 10.4172/2167-7964-C1-012